Journal of Clinical Otolaryngology Head and Neck Surgery
The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery
원저

경접 형동 뇌하수체 수술에 대한 임상적 고찰

서세훈1, 이현1, 안영민1, 김리석1, 백정환1, 강명구1, 김형동1
Se Hoon Suh1, Hyeon Lee1, Young Min Ahn1, Lee Suk Kim1, Chung Hwan Baek1, Myung Koo Kang1, Hyung Dong Kim1
1동아대학교 의과대학 이비인후과학교실·동아대학교 의과대학 신경외과학교실
1Department of Otolaryngology, College of Medicine, Dong-A University Department of Neurosurgery, College of Medicine, Dong-A University

© Copyright 1995 The Busan, Ulsan, Gyeoungnam Branch of Korean Society of Otolaryngology-Head and Neck Surgery. This is an Open-Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.

Published Online: May 31, 2020

ABSTRACT

Forty four cases of transsphenoidal hypophysectomies from May, 1990 to July, 1994 were analysed.

The results were as follows:

  1. Male to female ratio was 1 to 1.44.

  2. Thirty five cases were pituitary adenomas(79.5%), fifteen cases were functioning adenomas(34.1%) and twenty cases were non-functioning adenomas(45.5%).

  3. The chief complaints were visual loss and visual field defect(38.6%), headache(29.5%), amenorrhea(13.6%), acromegaly(11.4%) and others in order of frequencies.

  4. Pneumatization types of the sphenoid sinus were sellar(70.5%), presellar(20.5%) and unclassifiable(9%).

  5. Among 17 cases with preoperative visual disturbance, 7 cases(47.1%) were improved and 2 cases(11.7%) were aggravated after operation.

  6. Postoperative complications were transient diabetes insipidus(45.5%) and meningitis (2.3%).

Keywords: Transsphenoidal approach